Why readings are high in the am

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Natava
Regular Member


Date Joined Jul 2009
Total Posts : 35
   Posted 8/26/2009 5:54 AM (GMT -7)   
I am going on this "no more than 40-60 carbs a meal" till I meet with dietician.....My blood sugar always high in the AM.  This morning was 186.  Would that be a direct reflection of last nights dinner....*(chicken taco with only one wheat wrap, and a little less than a serving of chips - lettuce, low fat sour cream)?  Or would that have been worked out of my system by morning?

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5396
   Posted 8/26/2009 6:48 AM (GMT -7)   
A person with a normal metabolism (not diabetic or insulin resistant...) would have a normal fasting blood sugar in the morning after a dinner like that.  A diabetic or anyone who can't metabolize carbs normally can have an elevated fasting.  186 is very high and needs to be addressed.  The wrap and chips have a lot of carbs for us and will drive the blood sugar up.  And, if the chicken filling had flour as a filler in it, that too would elevate the blood sugar.  Sour cream in moderate amounts and lettuce wouldn't have much effect on the blood sugar.   

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 


Natava
Regular Member


Date Joined Jul 2009
Total Posts : 35
   Posted 8/26/2009 12:49 PM (GMT -7)   
I made the chicken myself, it was just chicken and some seasoning. The rest of the filling was fat free beans, and some lettuce and a few black olives. Still everything under 40 carbs. Even the chips cause I only had a few.

I am very new at the diabetic thing, and have only been checking sugars for a little more than a week. I meet with a nurse and dietician soon - just waiting for them to call me back with my appt.

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 8/26/2009 6:29 PM (GMT -7)   
It could be any number of things causing a high morning reading. It could be what you had to eat/drink the night before, it could be what is known as "dawn effect" in what happens is that your body's blood sugar dips "low" at some point during the night and to compensate your body produces/releases extra sugars into your blood but since you have problems dealing with those sugars your BSL goes high and stays high.

Take your blood sugar at bed time and see what it is and compare it to the next morning's readings. If your blood sugar is "normal" or "low normal" the night before it could indicate a dawn effect deal going on. If your BSL is high at bedtime then you it is due to the food you are eating.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5396
   Posted 8/26/2009 8:15 PM (GMT -7)   
Natava, I'm glad you're learning as much about this as you're doing because when you're informed then you'll be able to get better control.  Your fasting of 186 seems to mean you do have problems with carb metabolism.  You might not be a full-fledged diabetic who needs medication though if you can control the blood sugar yourself.  The only way you and the doctor will know that is by your readings.  It's a very good idea to keep a daily log of time, blood sugar reading, and what you eat.  Take the blod sugar 2 hours after you start a meal.  This way you'll see how you react to different kinds of food.  Your chicken taco meal had beans, taco and chips - all of which could raise your blood sugar.  But you'll learn what you can eat and what you can't in order to keep the blood sugar at a better level.  When you see the doctor again, I suggest that you show him your log and also bring your blood glucose monitor in with you.  If you have another lab test, then do your own test on your monitor and then compare the two results when you get the lab work back. 

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 

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